Combined percutaneous sclerotherapy and plastic surgery for the treatment of lower lip venous malformation: Report of two clinical cases

  • Tran Quyet Tien University of Medicine and Pharmacy at HCMC
  • Lam Thao Cuong University of Medicine and Pharmacy at HCMC

Main Article Content

Keywords

Venous malformation, sclerotherapy, plastic surgery

Abstract

Summary


Venous malformation is considered the most common congenital vascular anomaly. The most common region is the head and neck region involving the lips. Venous malformation of the lips always leads to cosmetic and functional issues. A multidisciplinary approach is recommended in the treatment of this malformation. In this report, we describe two cases of large venous malformation in the lower lip that were successfully treated by plastic surgery followed by percutaneous sclerotherapy. In our two-case presentation, sclerotherapy was performed prior to plastic surgery to improve the efficiency and reduce excessive bleeding, which resulted in significantly improved appearance and physical function. Conclusion: Venous malformations of the lips always result in cosmetic and functional problems. A multidisciplinary approach is recommended in the treatment of this malformation.


Keywords: Venous malformation, sclerotherapy, plastic surgery.

Article Details

References

1. Boon LM, Mulliken JB, Enjolras O, Vikkula M (2004) Glomuvenous malformation (glomangioma) and venous malformation: Distinct clinicopathologic and genetic entities. JAMA Dermatology 140(8): 971-976.
2. Buckmiller L, Richter G, Suen J (2010) Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Diseases 16(5): 405-418.
3. Leung M, Leung L, Fung D, Poon W-l, Liu C, Chung K, Tang P, Tse S, Fan T-w, Chao N et al (2014) Management of the low-flow head and neck vascular malformations in children: The sclerotherapy protocol. Eur J Pediatr Surg 24(01): 97-101.
4. Zheng JW, Mai HM, Zhang L, Wang YA, Fan XD, Su LX, Qin ZP, Yang YW, Jiang YH, Zhao YF et al (2013) Guidelines for the treatment of head and neck venous malformations. Int J Clin Exp Med 6(5): 377-389.
5. Ryu JY, Lee JS, Lee JW, Choi KY, Yang JD, Cho BC, Lee S-J, Lee JM, Huh S, Chung HY (2015) Clinical approaches to vascular anomalies of the lip. Arch Plast Surg 42(6): 709-715.
6. Lee BB, Bergan J, Gloviczki P, Laredo J, Loose DA, Mattassi R, Parsi K, Villavicencio JL, Zamboni P (2009) Diagnosis and treatment of venous malformations. Consensus document of the international union of phlebology (IUP)-2009. International angiology: A journal of the International Union of Angiology 28(6): 434-451.
7. Puig S, Aref H, Chigot V, Bonin B, Brunelle F (2003) Classification of venous malformations in children and implications for sclerotherapy. Pediatric radiology 33(2):99-103.
8. Lee BB, Baumgartner I, Berlien HP, Bianchini G, Burrows P, Do YS, Ivancev K, Kool LS, Laredo J, Loose DA et al (2013) Consensus Document of the International Union of Angiology (IUA)-2013. Current concept on the management of arterio-venous management. International angiology: A journal of the International Union of Angiology 32(1): 9-36.
9. Ahmad S (2019) Efficacy of percutaneous sclerotherapy in low flow venous malformations - a single center series. Neurointervention 14(1): 53-60.
10. Orlando JL, Caldas JGMP, Campos HGdA, Nishinari K, Krutman M, Wolosker N (2014) Ethanol sclerotherapy of head and neck venous malformations. Einstein (São Paulo) 12: 181-186.